| NPI | 1164647293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAREYNE MAHMOODI Physical Therapist Owner 954-341-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19287) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |